This 26-year-old male originally from India currently living in USA asked for homoeopathic medicines for his acne vulgaris affecting mainly upper and lower back, chest, arms, and face. These acnes usually consist of small pustules with white fluid in it and blackheads. He is suffering from these acnes since 14. These acnes are sometimes very itchy and sometimes turn very red. He is also suffering from male pattern alopecia. He reported that in India he used to get frequent colds while In USA used to get one to two attacks of cold, cough, and fever. He also complained of having sensitive stomach i.e., if he eats spicy and hard food he used the get hard stool and sometimes blood in the stool. He has tendency to be stressed and depressed.
He has tendency to sweat a lot mainly in armpits and sweats stains yellow on his cloth. His sweats are very offensive. The patient reports being chilly in rather cold weather and tired probably indicating having tendency to be hypothermic also. Regarding his acne, upon seeing his photographs, it seems like erythematous papules and he describes small hard pustules filled with white fluid and blackheads and erythematous papules with whitish pus blood. These eruptions are on neck, upper back, shoulders, and thighs and hips area. The patient reported having family history of having heart problems, diabetes, and alopecia and acne only in uncles affecting only face. The patient has tried yet Rhus Tox 30c with some aggravation, but no improvement then Merc Sol, which was subsequently indicated, but yield no effect at all and now advised to take Nitric Acid 30C, 3 dose only. To see full summary, see comment section.